# DELBA J. PENA D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639341712
- **Authorized official:** DR. DELBA J PENA D.D.S. (PRESIDENT)
- **Authorized official phone:** (516) 483-8136

## Contact information

- **Practice address:** 186 CLINTON ST, HEMPSTEAD, NY 11550-2600
- **Practice address phone:** (516) 483-8136
- **Practice address fax:** (516) 483-8134
- **Mailing address:** P.O. BOX 160, UNIONDALE, NY 11553
- **Mailing address phone:** (516) 483-8136
- **Mailing address fax:** (516) 483-8134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 047706-1 | NY | Yes |

## Other

- **Enumeration date:** 03/28/2008
- **Last updated:** 03/28/2008